患者同时患有斯塔加特病和眼弓蛔虫病，出现双眼局灶性脉络膜凹陷。
Bilateral focal choroidal excavations in a patient with Stargardt disease and ocular toxoplasmosis.
机构信息
Horngren Family Vitreoretinal Center, Byers Eye Institute, Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, CA, USA.
Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL, USA.
出版信息
Eur J Ophthalmol. 2021 Nov;31(6):NP5-NP8. doi: 10.1177/1120672120932092. Epub 2020 Jun 3.
INTRODUCTION
Focal choroidal excavation (FCE) is a concavity of the choroid detected on optical coherence tomography (OCT). It is usually idiopathic and the affected eyes are otherwise healthy with near-normal overlying retinal architecture and good visual acuity.
PURPOSE
To report a case of bilateral conforming FCE in the setting of Stargardt disease and inactive ocular toxoplasmosis.
CASE REPORT
A 20-year-old man with known history of Stargardt disease, healed toxoplasmosis, and high myopia presented to our ophthalmology department for follow-up examination and was found with bilateral FCEs not present in any of his previous examinations.
CONCLUSION
FCEs have been reported in the literature in otherwise healthy eyes as well as a broad spectrum of ocular diseases. The case herein reported Stargardt disease, toxoplasmosis, and high myopia all could potentially contribute to the pathogenesis of these findings. Further studies are needed to define etiologies as well as clinical significance and course of FCEs.
简介
局灶性脉络膜凹陷（FCE）是在光学相干断层扫描（OCT）上检测到的脉络膜凹陷。它通常是特发性的，受影响的眼睛在其他方面是健康的，具有近乎正常的视网膜结构和良好的视力。
目的
报告一例在 Stargardt 病和活动性眼弓形体病背景下双侧吻合性 FCE 的病例。
病例报告
一名 20 岁男性，已知有 Stargardt 病、已愈合的弓形体病和高度近视病史，因随访检查就诊于我们的眼科，发现其双眼均存在以前检查中未出现的双侧 FCE。
结论
FCE 已在文献中报道于其他健康的眼睛以及广泛的眼部疾病中。本文报告的病例中，Stargardt 病、弓形体病和高度近视均可能促成这些发现的发病机制。需要进一步的研究来确定 FCE 的病因以及其临床意义和病程。
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